Having just posted updates by pilot site, here now are the remaining updates by activity and staff member that didn't fit into site specific categories:
Project Coordinator Heather is returned from her conference and is planning for the transition to a new administrative support staffer to replace Zachorelli Frescobaldi, whose last day was this week. There will be a gap in coverage, and as a result, some things, such as the communication committee, are on hold, or may be progressing more slowly than first anticipated.
Our grantwriter, Cat, is using a Groove website info in her application for a Medication safety grant. She is also exploring the possibility of funds from Microsoft. Sterling/Olympic Health Care are submitting a demonstration project to CMS. The Kellogg grant application is still in the queue to go to their board, now scheduled for September. A donor database is finally complete and proving a great tool in her efforts.
Mary, Project Manager, is working on:
- Patient representative guidelines
- Connecting with Patient rep Hal regarding a Boston presentation
- P2 Report to the leadership board includes statistics on patient centeredness assessment
- Pursuing Perfection Leadership board reports now have 'green, yellow, red light' designation to signify which items are progressing as planned, needing attention, or have hit a barrier the board needs to address.
- Whatcom Pursuing Perfection effort has been nominated for an E-health award
- AHA highlighted P2 as 'best practice'
- Eric Coleman also wrote up the P2 project in an artcle to be published in January.
- Focus is on 'results' for pilot sites.
Our Data Analyst Duo, Christine and Brian reported that:
- Graphic tutorial of Patient Satisfaction Survey results is complete and ready for deployment to the pilot sites. This will be a screen saver for the touchscreen pcs, and will display the specific results for site.
- This month's leadership board report is ready.
- Both are working on the Chronic Disease Datamart to support reporting on all chronic disease states.
- Revamping the reports to IHI and pilot sites
- Evaluation Team Survey is coming, will be sent to all pilot site staff and half of hospital staff. 1000 responses needed for statistically significant sample. Will go out on paper after consideration of electronic option.
- Patient activation scores are going down for reasons that are currently not clear. Will be meeting with Clinical Care Specialists and Psychomatrician Bill Mahoney.
- Patient activation surveys online still pending.
- Working to streamline data reporting processes and select a core set of tools with Measurements Outcomes and Methods (MOMs) Team.
- Enthusiastic about Groove as a tool for collaboration.
- Pulled data for presentation by Nancy Stothart and Cindy Brinn.
- Assorted other 'ad hoc' report requests
Clinical Care Specialists - Connie and Nancy shared:
- Though at the limit, they are still taking new patients as referred.
- Major concern re the types of patients referred, focus should be on
- Complex issues
- Newly diagnosed diabetics
- Finding incompatible problem lists - need to design better referral form/process
- Question about whether or when to 'discharge' or reduce contacts for patients who do not want to be involved with Clinical Care Specialist - readiness.
- Very important to have PCPs and Specialists consult with each other..
- Maintaining SCPs continues to be a challenge.
- Receiving positive patient feedback
- Patients liked the picnic
- Patients like the opportunity to share
- Diabetes classes well received, they want more.
- Capacity affected by patients with multiple diagnoses, working with whole patient, not just their diabetes...
- Carol Boston-Fleischauer of PeaceHealth is researching and reporting on similar case managers in the US. Report will be presented to the Leadership Board and Medical Directors.
And finally, our Project's Executive Sponsor, Marc Pierson, MD told us of his activities and findings:
- Idealized Design for Office Practice is critical for improved results
- Advocacy Concept
- CMS demonstration project
- Appropriations bill (Congressman Rick Larsen to visit in August - efforts also in Ketchikan)
- eHealth Initiative - (Janet Marchibroda with eHealth Initiative and Carol Diamond of Markle Foundation to visit in August with IDX and GE representatives)
- Has met with representatives of large pharmaceutical companies, Johnson & Johnson, Pfizer, AstraZeneca...
- Patient Safety Institute
- Spread and Sustainability assurance
- Congressional and Senate representatives, Sen Patty Murray, (aide Mary Conway)
- Dennis Wagner, John Scanlon - Spread concept to 600 communities
- Spread beyond Whatcom
- Additional chronic disease states managed
- Community of Innovation necessary to spread wider
- Communicates to PeaceHealth & beyond
- Immunization registry work also spreading
